Provider Demographics
NPI:1184911711
Name:MILLER, LAURA SHOREY (DO, FAAP)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:SHOREY
Last Name:MILLER
Suffix:
Gender:F
Credentials:DO, FAAP
Other - Prefix:DR
Other - First Name:LAURA
Other - Middle Name:SHOREY-KLEIN
Other - Last Name:FOSTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:696 DANIEL WEBSTER HWY
Mailing Address - Street 2:
Mailing Address - City:MERRIMACK
Mailing Address - State:NH
Mailing Address - Zip Code:03054-2748
Mailing Address - Country:US
Mailing Address - Phone:603-429-3155
Mailing Address - Fax:603-424-8693
Practice Address - Street 1:696 DANIEL WEBSTER HWY
Practice Address - Street 2:
Practice Address - City:MERRIMACK
Practice Address - State:NH
Practice Address - Zip Code:03054-2748
Practice Address - Country:US
Practice Address - Phone:603-429-3155
Practice Address - Fax:603-424-8693
Is Sole Proprietor?:No
Enumeration Date:2011-07-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102203367208000000X
NH18184208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics